Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial

Neonatology ◽  
2020 ◽  
Vol 117 (2) ◽  
pp. 159-166
Author(s):  
Isabel T. Gross ◽  
Travis Whitfill ◽  
Brooke Redmond ◽  
Katherine Couturier ◽  
Ambika Bhatnagar ◽  
...  
2011 ◽  

The manual includes updated information on instructor requirements, the online examination, and simulation and debriefing. The new Instructor Manual for Neonatal Resuscitation has been completely revised for NRP™ hospital-based instructors and regional trainers who wish to present high quality simulation-based NRP™ courses. The manual features information relevant to NRP Instructors of all experience levels, including chapters about organizing supplies and equipment, setting up for all NRP Provider and Instructor courses, conducting simulation and debriefing, and performing administrative tasks.


2016 ◽  
Vol 35 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Crystal E. Brown ◽  
Anthony L. Back ◽  
Dee W. Ford ◽  
Erin K. Kross ◽  
Lois Downey ◽  
...  

Background: We conducted a randomized trial of a simulation-based multisession workshop to improve palliative care communication skills (Codetalk). Standardized patient assessments demonstrated improved communication skills for trainees receiving the intervention; however, patient and family assessments failed to demonstrate improvement. This article reports findings from trainees’ self-assessments. Aim: To examine whether Codetalk resulted in improved self-assessed communication competence by trainees. Design: Trainees were recruited from the University of Washington and the Medical University of South Carolina. Internal medicine residents, medicine subspecialty fellows, nurse practitioner students, or community-based advanced practice nurses were randomized to Codetalk, a simulation-based workshop, or usual education. The outcome measure was self-assessed competence discussing palliative care needs with patients and was assessed at the start and end of the academic year. We used robust linear regression models to predict self-assessed competency, both as a latent construct and as individual indicators, including randomization status and baseline self-assessed competency. Results: We randomized 472 trainees to the intervention (n = 232) or usual education (n = 240). The intervention was associated with an improvement in trainee’s overall self-assessment of competence in communication skills ( P < .001). The intervention was also associated with an improvement in trainee self-assessments of 3 of the 4 skill-specific indicators—expressing empathy, discussing spiritual issues, and eliciting goals of care. Conclusion: Simulation-based communication training was associated with improved self-assessed competency in overall and specific communication skills in this randomized trial. Further research is needed to fully understand the importance and limitations of self-assessed competence in relation to other outcomes of improved communication skill.


2005 ◽  
Vol 17 (3) ◽  
pp. 202-208 ◽  
Author(s):  
Diane B. Wayne ◽  
John Butter ◽  
Viva J. Siddall ◽  
Monica J. Fudala ◽  
Lee A. Linquist ◽  
...  

2019 ◽  
Vol 9 (10) ◽  
pp. 757-762
Author(s):  
Kate D. Brune ◽  
Varsha Bhatt-Mehta ◽  
Deborah M. Rooney ◽  
Gary M. Weiner

2016 ◽  
Vol 31 (5) ◽  
pp. 2131-2139 ◽  
Author(s):  
Cecilia Nilsson ◽  
Jette Led Sorensen ◽  
Lars Konge ◽  
Mikkel Westen ◽  
Morten Stadeager ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Chang Lu ◽  
Simran K. Ghoman ◽  
Maria Cutumisu ◽  
Georg M. Schmölzer

Background: Simulation education can benefit healthcare providers (HCPs) by providing opportunities to practice complex neonatal-resuscitation tasks in low-stake environments. To our knowledge, no study investigated the role of growth mindset on longitudinal performance on neonatal resuscitation before and after simulation-based training.Objectives: This study examines whether 1) the RETAIN digital/table-top simulators facilitate HCPs' neonatal resuscitation knowledge gain, retention, and transfer and 2) growth mindset moderates HCPs' longitudinal performance in neonatal resuscitation.Methods: Participants were n = 50 HCPs in a tertiary perinatal center in Edmonton, Canada. This longitudinal study was conducted in three stages including 1) a pretest and a mindset survey, immediately followed by a posttest using the RETAIN digital simulator from April to August 2019; 2) a 2-month delayed posttest using the same RETAIN neonatal resuscitation digital simulator from June to October 2019; and 3) a 5-month delayed posttest using the low-fidelity table-top neonatal resuscitation digital simulator from September 2019 to January 2020. Three General Linear Mixed Model (GLMM) repeated-measure analyses investigated HCPs' performance on neonatal resuscitation over time and the moderating effect of growth mindset on the association between test time points and task performance.Results: Compared with their pretest performance, HCPs effectively improved their neonatal resuscitation knowledge after the RETAIN digital simulation-based training on the immediate posttest (Est = 1.88, p &lt; 0.05), retained their knowledge on the 2-month delayed posttest (Est = 1.36, p &lt; 0.05), and transferred their knowledge to the table-top simulator after 5 months (Est = 2.01, p &lt; 0.05). Although growth mindset did not moderate the performance gain from the pretest to the immediate posttest, it moderated the relationship between HCPs' pretest and long-term knowledge retention (i.e., the interaction effect of mindset and the 2-month posttest was significant: Est = 0.97, p &lt; 0.05). The more they endorsed a growth mindset, the better the HCPs performed on the posttest, but only when they were tested after 2 months.Conclusions: Digital simulators for neonatal resuscitation training can effectively facilitate HCPs' knowledge gain, maintenance, and transfer. Besides, growth mindset shows a positive moderating effect on the longitudinal performance improvement in simulation-based training. Future research can be conducted to implement growth-mindset interventions promoting more effective delivery of technology-enhanced, simulation-based training and assessment.


2020 ◽  
Author(s):  
Naod Bulti Etanaa ◽  
Kore Menjie Benwu ◽  
Hagos Gebregzabiher Gebremedhin ◽  
Haftom Birhane Desta

Abstract Objective : In Ethiopia simulation-based anesthesia education is a new way of teaching method which started in Mekelle University as of January, 2019. Hence, the purpose of this study is to evaluate whether simulation-based training improves non-physician anesthetists’ knowledge and attitude on maternal and neonatal anesthesia cares or not. Results : Out of 50 study subjects, 66% had a working experience of less than 5 years.. Knowledge score improved significantly from 49.78% and 66.22% in pretest and posttest results respectively. The posttest result was significantly improved (P< 0.001) for all knowledge questions. The respondents were asked about a negative statement and a positive statement about the need to have effective closed lope communication, maternal resuscitation and neonatal resuscitation. The attitude score improved from 72.45% to 79.11% in pretest and posttest respectively. From the 9 questions the attitudinal mean score for pretest was 6.52 and posttest 7.12. The null hypothesis of equal knowledge and attitude was rejected, t (49) = -5.54, p < 0.001 and t (49) = -2.25, p < 0.03 respectively.


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